Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $67.34 / $82.42	Facility		$29.45	$67.34	$82.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.72 / $31.48	Professional		$4.37	$4.72	$31.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $13.05 / $13.81	Facility		$10.79	$13.05	$13.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $3.71 / $20.78	Professional		$3.71	$3.71	$20.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $13.61 / $14.15	Facility		$3.42	$13.61	$14.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.52 / $15.36	Professional		$5.78	$13.52	$15.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $6.02	Facility		$4.47	$4.47	$6.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $23.75 / $60.00	Facility		$4.47	$23.75	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.01 / $16.42	Professional		$2.95	$5.01	$16.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $13.86 / $85.00	Professional		$2.50	$13.86	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $6.02	Facility		$4.47	$4.47	$6.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $12.67 / $21.33	Professional		$6.13	$12.67	$21.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $10.03 / $60.00	Facility		$10.03	$10.03	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.27 / $4.97	Professional		$2.66	$3.27	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $10.69	Professional		$6.08	$6.08	$10.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $27.41	Professional		$6.08	$6.08	$27.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.24 / $12.44	Professional		$2.50	$4.24	$12.44